Dear Dr. Seckel, I have had 2 blepharoplasty surgeries (all four eyelids) and still Look tired as my lower lids hang way down and I feel for lack of better word my eyes look like a basset hound. I had the scalpel blepharoplasty with the visible scar on my lower eyelids, I did not have the transconjunctival blepharoplasty you write about and I did not have the arcus marginalis release. I also did not have the laser. First surgery was with plastic surgeon, second was with occuloplastic surgeon, went back to a third plastic surgeon and he mentioned I should have had a canthoplasty instead. Does suturing the ligament to the bone cause eventual sagging because of weight of the cheek and gravity over time? Thank you for your time, Renée, Minneapolis,
Sunday, March 11th, 2007Dear Renee,
The look you describe, also called the sad eyed look, hound dog eyes, ectropion, or scleral show, is the most common problem after traditional scalpel blepharoplasty of the lower eyelid. Modern Blepharoplasty usually avoids these problems. During the traditional lower eyelid blepharoplasty when the incision is made on the outside of the lower eyelid [...]
